Whalio Doctors

NPI 1104003987

Randolph Medical Associates

Organisation Sonography Specialist/Technologist Cardiovascular Roanoke, AL

Practice location

Address
965 US Hwy 431, Roanoke, AL 36274
Phone
(334) 863-2150
Fax
(334) 863-8733
Mailing address
PO Box 625, Roanoke, AL 36274-0625

Authorised official

Name
Russell Doak Peterson
Title
Owner
Phone
(334) 863-2150

Registered specialties

Sonography Specialist/Technologist Cardiovascular Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246XS1301X Licence D0436 (AL)

Registry record

NPI
1104003987
Entity type
Organization
NPI issued
24 Jan 2008
Record last updated
24 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.